Polycystic itsvo chirwere

Polycystic itsvo chirwere (PKD) chirwere cheitsvo chakapfuura nepakati pemhuri. Muchirwere ichi, ma cysts mazhinji anogadzira muitsvo, zvichiita kuti zviwedzerwe.

PKD inopfuudzwa kuburikidza nemhuri (nhaka). Iwo mafomu maviri akagarwa nhaka ePKD ndeaya autosomal akakurisa uye autosomal akawandisa.

Vanhu vane PKD vane masumbu mazhinji ema cysts muitsvo. Chii chaizvo chinokonzeresa ma cysts kuumba hachizivikanwe.

PKD inosanganiswa nemamiriro ezvinhu anotevera:

• Aortic aneurysms
• Zviratidzo zvehuropi
• Mapundu ari muchiropa, pancreas, uye testes
• Diverticula yekoloni

Vazhinji sehafu yevanhu vane PKD vane ma cyst muchiropa.

Zviratidzo zvePKD zvinogona kusanganisira chero cheanotevera:

• Kutambudzika kwepamuviri kana unyoro
• Ropa mune weti
• Kunyanyisa kuita weti husiku
• Flank kurwadziwa kune rimwe kana maviri mativi
• Kukotsira
• Joint kurwadziwa
• Chipikiri zvisizvo

Kuongorora kunogona kuratidza:

• Abdominal unyoro pamusoro pechiropa
• Yakawedzera chiropa
• Kugunun'una kwemoyo kana zvimwe zviratidzo zvekutadza kukwana kana mitral kusakwana
• Kuwedzera kweropa
• Kukura muitsvo kana mudumbu

Miedzo inogona kuitwa inosanganisira:

• Cerebral angiography
• Yakazara kuverenga kweropa (CBC) kutarisa kushomeka kweropa
• Chiropa bvunzo (ropa)
• Kuongorora urinal

Vanhu vane nhoroondo yemunhu kana yemhuri yePKD vane misoro vanofanirwa kuyedzwa kuti vaone kana aneurysms yeuropi ndiyo honzeri.

PKD uye cysts pachiropa kana zvimwe nhengo zvinogona kuwanikwa uchishandisa bvunzo dzinotevera:

• Abdominal CT scan
• Abdominal MRI scan
• Abdominal ultrasound
• Intravenous pyelogram (IVP)

Kana nhengo dzinoverengeka dzemhuri yako dziine PKD, kuongororwa kwemajini kunogona kuitwa kuti uone kana uine PKD geni.

Chinangwa chekurapa ndechekudzivirira zviratidzo uye kudzivirira kunetseka. Kurapa kunogona kusanganisira:

• Ropa rekumanikidza mishonga
• Diuretics (mapiritsi emvura)
• Kudya kwakaderera-munyu

Chero hutachiona hwehutachiona hunofanirwa kurapwa nekukurumidza nemishonga inorwisa mabhakitiriya.

Makemikari anorwadza, ane hutachiona, achibuda ropa, kana kukonzera kuvharika angangoda kudhonzwa. Iko kunowanzo kuve nema cysts akawandisa kuti zviite zvinoshanda kubvisa yega cyst.

Kuvhiya kubvisa 1 kana itsvo mbiri dzinogona kudikanwa. Kurapa kweyekupedzisira-chikamu chirwere cheitsvo kunogona kusanganisira dialysis kana yeitsvo kuisazve.

Iwe unogona kazhinji kudzikisira kushushikana kwechirwere nekubatana neboka rekutsigira uko nhengo dzinogovana zvakajairika zviitiko nematambudziko.

Chirwere ichi chinowedzera kuwedzera zvishoma nezvishoma. Pakupedzisira, zvinogona kutungamira kumagumo-nhanho itsvo kutadza. Iyo zvakare inosanganisirwa nechiropa chirwere, kusanganisira hutachiona hwechiropa cysts.

Kurapa kunogona kubvisa zviratidzo zvemakore mazhinji.

Vanhu vane PKD vasina zvimwe zvirwere vanogona kunge vakanaka kukwikwidza kweitsvo kuisirwa.

Matambudziko ehutano anogona kukonzerwa nePKD anosanganisira:

• Anemia
• Kubuda ropa kana kubvaruka kwema cysts
• Yenguva refu (isingaperi) chirwere cheitsvo
• End-danho chirwere cheitsvo
• Kuwedzera kweropa
• Kubatwa kwechiropa cysts
• Itsvo matombo
• Chiropa kutadza (zvinyoro kusvika kune zvakanyanya)
• Dzokorora urinary turakiti hutachiona

Fonera wako mupi wezvehutano kana:

• Iwe une zviratidzo zvePKD
• Une nhoroondo yemhuri yePKD kana zvimwe zvine chekuita nedambudziko uye urikuronga kuita vana (ungangoda kuve neijenasi kuraira)

Parizvino, hapana kurapwa kunogona kudzivirira ma cysts kubva pakuumba kana kuwedzera.

Mapundu - itsvo; Itsvo - polycystic; Autosomal yakanyanya polycystic itsvo chirwere; ADPKD

• Itsvo uye chiropa cysts - CT scan
• Chiropa uye spleen cysts - CT scan

Arnaout MA. Zvirwere zveitsvo. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chits. 118.

Torres VE, Harris PC. Zvirwere zvecystic zveitsvo. Mune: Yu ASL, Chertow GM, Luyckx VA, Marsden PA, Skorecki K, Taal MW, eds. Brenner uye Rector Iyo Itsvo. 11th ed. Philadelphia, PA: Elsevier; 2020: chitsama 45.